Medical Billing and Coding Coordinator Position

About the role

Responsible for managing medical billing processes, verifying insurance, scheduling appointments, and ensuring accurate coding for claims. Acts as a liaison between patients, providers, and insurance companies.

Responsibilities

• Prepare and submit medical claims with correct ICD, CPT, and HCPCS codes.
• Verify insurance coverage and process payments, tracking outstanding balances.
• Follow up on denied or unpaid claims, correcting errors, and resubmitting.
• Coordinate referrals, pre-authorizations, and ensure receipt of pre-operative results.
• Communicate with patients regarding billing and insurance inquiries.
• Maintain organized, confidential electronic health records (EHR).
• Perform other duties as assigned, with flexibility to adapt to departmental needs.

Requirements

• High school diploma or GED, with two years' related experience as a medical billing specialist.
• Certified Medical Billing Professional.
• Proficiency with ICD, CPT, HCPCS coding systems, and medical terminology.
• Strong computer skills and experience with EHR software.
• Attention to detail, organizational skills, and effective communication.
• Ability to handle sensitive patient information in accordance with HIPAA.

Additional Conditions

• May require immunizations to prevent exposure to bloodborne pathogens.